Risk factors for the prognostic effects of patients with pelvic abscesses: a clinical retrospective study
Abstract Background Pelvic abscesses represent acute gynecological emergencies requiring timely intervention. This study evaluated prognostic predictors and treatment modalities in patients with pelvic abscesses. Methods We conducted a retrospective analysis of 127 consecutive pelvic abscess cases t...
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| Language: | English |
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BMC
2025-06-01
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| Series: | BMC Women's Health |
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| Online Access: | https://doi.org/10.1186/s12905-025-03838-5 |
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| author | Lei Yang Juhua Zhong Huihua Chen Chen Gao Tingting Lin Liangyu Chen Zhenwen Zhang Yang Lin Yiyi Zheng |
| author_facet | Lei Yang Juhua Zhong Huihua Chen Chen Gao Tingting Lin Liangyu Chen Zhenwen Zhang Yang Lin Yiyi Zheng |
| author_sort | Lei Yang |
| collection | DOAJ |
| description | Abstract Background Pelvic abscesses represent acute gynecological emergencies requiring timely intervention. This study evaluated prognostic predictors and treatment modalities in patients with pelvic abscesses. Methods We conducted a retrospective analysis of 127 consecutive pelvic abscess cases treated at Ningde Municipal Hospital between 2016 and 2021. Patients were stratified by treatment modality (non-surgical, laparoscopic, open surgery). Multiple linear regression analyses were performed to assess the associations between risk factors and prognostic outcomes. Results Non-surgical management was associated with smaller abscess size but longer recovery times compared to surgical interventions. Laparoscopic approaches exhibited superior outcomes versus open surgery in both operative time and blood loss. Multivariate analysis identified key prognostic factors included treatment modality, duration from onset to admission, pre-admission temperature, CA125 levels, and maximum mass diameter. Conclusions These findings underscore the prognostic value of early intervention, biomarker-guided decision-making, and minimally invasive approaches in pelvic abscess management. By identifying these factors, healthcare providers could effectively stratify patients based on their risk profiles, facilitating more personalized treatment strategies and improved prognostic outcomes. |
| format | Article |
| id | doaj-art-e6d9d3596bee473aa9a6092e0c458a28 |
| institution | DOAJ |
| issn | 1472-6874 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Women's Health |
| spelling | doaj-art-e6d9d3596bee473aa9a6092e0c458a282025-08-20T03:10:39ZengBMCBMC Women's Health1472-68742025-06-0125111010.1186/s12905-025-03838-5Risk factors for the prognostic effects of patients with pelvic abscesses: a clinical retrospective studyLei Yang0Juhua Zhong1Huihua Chen2Chen Gao3Tingting Lin4Liangyu Chen5Zhenwen Zhang6Yang Lin7Yiyi Zheng8Department of Obstetrics and Gynecology, Ningde Municipal Hospital of Ningde Normal UniversityDepartment of Obstetrics and Gynecology, Ningde Municipal Hospital of Ningde Normal UniversityDepartment of Obstetrics and Gynecology, Ningde Municipal Hospital of Ningde Normal UniversityDepartment of Obstetrics and Gynecology, Ningde Municipal Hospital of Ningde Normal UniversityDepartment of Obstetrics and Gynecology, Ningde Municipal Hospital of Ningde Normal UniversityDepartment of Obstetrics and Gynecology, Ningde Municipal Hospital of Ningde Normal UniversityDepartment of Obstetrics and Gynecology, Ningde Municipal Hospital of Ningde Normal UniversityDepartment of Obstetrics and Gynecology, Ningde Municipal Hospital of Ningde Normal UniversityDepartment of Obstetrics and Gynecology, Ningde Municipal Hospital of Ningde Normal UniversityAbstract Background Pelvic abscesses represent acute gynecological emergencies requiring timely intervention. This study evaluated prognostic predictors and treatment modalities in patients with pelvic abscesses. Methods We conducted a retrospective analysis of 127 consecutive pelvic abscess cases treated at Ningde Municipal Hospital between 2016 and 2021. Patients were stratified by treatment modality (non-surgical, laparoscopic, open surgery). Multiple linear regression analyses were performed to assess the associations between risk factors and prognostic outcomes. Results Non-surgical management was associated with smaller abscess size but longer recovery times compared to surgical interventions. Laparoscopic approaches exhibited superior outcomes versus open surgery in both operative time and blood loss. Multivariate analysis identified key prognostic factors included treatment modality, duration from onset to admission, pre-admission temperature, CA125 levels, and maximum mass diameter. Conclusions These findings underscore the prognostic value of early intervention, biomarker-guided decision-making, and minimally invasive approaches in pelvic abscess management. By identifying these factors, healthcare providers could effectively stratify patients based on their risk profiles, facilitating more personalized treatment strategies and improved prognostic outcomes.https://doi.org/10.1186/s12905-025-03838-5Pelvic abscessLaparoscopicOpen surgeryPrognosisRisk factor |
| spellingShingle | Lei Yang Juhua Zhong Huihua Chen Chen Gao Tingting Lin Liangyu Chen Zhenwen Zhang Yang Lin Yiyi Zheng Risk factors for the prognostic effects of patients with pelvic abscesses: a clinical retrospective study BMC Women's Health Pelvic abscess Laparoscopic Open surgery Prognosis Risk factor |
| title | Risk factors for the prognostic effects of patients with pelvic abscesses: a clinical retrospective study |
| title_full | Risk factors for the prognostic effects of patients with pelvic abscesses: a clinical retrospective study |
| title_fullStr | Risk factors for the prognostic effects of patients with pelvic abscesses: a clinical retrospective study |
| title_full_unstemmed | Risk factors for the prognostic effects of patients with pelvic abscesses: a clinical retrospective study |
| title_short | Risk factors for the prognostic effects of patients with pelvic abscesses: a clinical retrospective study |
| title_sort | risk factors for the prognostic effects of patients with pelvic abscesses a clinical retrospective study |
| topic | Pelvic abscess Laparoscopic Open surgery Prognosis Risk factor |
| url | https://doi.org/10.1186/s12905-025-03838-5 |
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